Provider Demographics
NPI:1316985971
Name:ACCESS COUNSELING LLC
Entity type:Organization
Organization Name:ACCESS COUNSELING LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:GRAY
Authorized Official - Last Name:MOSER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, LMFT, CSAC
Authorized Official - Phone:434-392-8371
Mailing Address - Street 1:114 S BRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:FARMVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23901-1704
Mailing Address - Country:US
Mailing Address - Phone:434-392-8371
Mailing Address - Fax:
Practice Address - Street 1:114 S BRIDGE ST
Practice Address - Street 2:
Practice Address - City:FARMVILLE
Practice Address - State:VA
Practice Address - Zip Code:23901-1704
Practice Address - Country:US
Practice Address - Phone:434-392-8371
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0710001077101YA0400X
VA0701002697101YP2500X
VA0717000651106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty